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CANYON CREEK CLINIC
NPI 1356952048
Clinic/Center - Primary Care in John Day, OR

Active since August 14, 2020CLIA 38D2203731 · Microscopy
235 S CANYON BLVD, JOHN DAY, OR 97845(541) 575-1263(541) 575-0233 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2021, May 27, 2021, Nov 23, 2020 and 2 more (5 updates tracked since 2020).

About Canyon Creek Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANYON CREEK CLINIC (NPI 1356952048) is a healthcare organization registered as a primary care in John Day, Oregon and active in the NPI registry since August 2020. The organization holds a CLIA Microscopy certificate valid through December 3, 2026 and lists Shawna Clark, President, as its authorized official.

NPPES Registry Identity

NPI1356952048
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCANYON CREEK CLINIC
Location Address235 S CANYON BLVDJohn Day, OR 97845-1044
Mailing Address235 S Canyon BlvdJohn Day, OR 97845-1044 · (541) 575-1263 · Fax (541) 575-0233
Phone(541) 575-1263
Fax(541) 575-0233
Organization SubpartNo
Authorized OfficialShawna ClarkPresident · (541) 575-1263
Enumeration DateAugust 14, 2020
Last NPPES UpdateJune 22, 20215 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1356952048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
235 S CANYON BLVD, John Day, OR 97845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D2203731

Canyon Creek Clinic · John Day, OR
Active · expires Dec 3, 2026
CLIA Number38D2203731
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorShawna A. Clark
Laboratory Phone(541) 575-1263
Laboratory LocationCanyon Creek Clinic235 S Canyon Blvd, John Day, OR 97845
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA KAY WATSON CHW
Community Health Worker
235 S CANYON BLVD
JOHN DAY, OR 97845
Grant County (541) 575-1263
CANYON CREEK CHIC LLC
Clinic/Center (Medical Specialty)
235 S CANYON BLVD
JOHN DAY, OR 97845
Grant County (541) 575-1263
SHAWNA A CLARK DNP, FNP
Nurse Practitioner (Family)
235 S CANYON BLVD
JOHN DAY, OR 97845
Grant County (541) 575-1263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canyon Creek Clinic's NPI number?

The NPI number for Canyon Creek Clinic is 1356952048. It was assigned to this organization in the NPPES registry on August 14, 2020.

Where is Canyon Creek Clinic located?

Canyon Creek Clinic is located at 235 S Canyon Blvd, John Day, OR 97845. The listed phone number is (541) 575-1263.

What is Canyon Creek Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Canyon Creek Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D2203731) is associated with this NPI, valid through December 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Canyon Creek Clinic accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Canyon Creek Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Canyon Creek Clinic was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.